WellCare Classic (PDP) By WellCare

WellCare Classic (PDP) is a Basic Alternative Medicare Prescription Drug Plan (PART D) by WellCare. Stand-alone plans offer additional prescription drug coverage only and are an option if you are on Original Medicare insurance or you have a Medicare health plan that does not include Part D coverage.

COMPARE AND SAVE ON MEDICARE INSURANCE

Deductible and Premium

The WellCare Classic (PDP) plan has a monthly drug premium of $19.10 and a $0.00 drug deductible. This WellCare plan offers a $19.10 Part D Basic Premium that is below the regional benchmark. This covers the basic prescription benefit only and does not cover enhanced drug benefits such as medical benefits or hospital benefits. The Part D Supplemental Premium is $0.00 this Premium covers any enhanced plan benefits offered by WellCare above and beyond the standard PDP benefits. This can include additional coverage in the gap, lower co-payments and coverage of non-Part D drugs. The Part D Total Premium is $19.10. The Part D Total Premium is the addition of the supplemental and basic premiums for some plans this amount can be lower due to negative basic or supplemental premiums.

Premium Assistance

Depending on your income level you may be eligible for full 75%, 50%, 25% premium assistance. The WellCare Classic (PDP) medicare insurance plan offers a $0.00 premium obligation if you receive a full low-income subsidy (LIS) assistance. And the payment is $4.80 for 75% low income subsidy $9.50 for 50% and $14.30 for 25%.

Part D Basic Premium:

$19.10

Benchmark:

below the regional benchmark

Part D Supplemental Premium

$0.00

Benefit Type:

Basic Alternative

Total Part D Premium:

$19.10

$0 Premium with Full LIS:

Yes

Full LIS Premium:

$0.00

75% LIS Premium:

$4.80

50% LIS Premium:

$9.50

25% LIS Premium:

$14.30

Gap Coverage

In 2014 once you and your plan provider have spent $2,850 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") You will be require to pay 47.5% of the plans cost for covered brand-name prescription drugs and 72% of the cost for generic drugs unless your plan offers additional coverage. This WellCare plan covers No Gap Coverage through the gap.
No Gap Coverage means 0% of formulary drugs are covered through the gap or 15 or less brand name products are covered through the gap.

Star Ratings for WellCare Classic (PDP) S5967

2014 Overall Rating

Members Choosing to Leave Plan

Rating of Drug Plan

Quality Improvement

Getting Needed Meds

Price Accuracy

Complaints

Access And Performance

High Risk Medication

Diabetes Treatment

Adherence for Diabetes

Adherence for Hypertension

Adherence for Cholesterol

Call Center

Auto Appeals

Appeals Upheld

Higher is Better

Source: CMS.

Plans as of September 3, 2013.

Plans are subject to change as contracts are finalized.

Includes 2014 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded.